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In medicine, neurotomy (Latin for 'nerve incision') is the complete or partial severing of a nerve ( denervation ). In contrast to neurectomy , the nerve fibers are severed without any loss of substance.

A neurotomy was first performed by Schlichtling and Maréchal in 1748. In the following years it was mainly used for painful conditions and spasticity . Neurotomies are rarely performed these days. Exceptions are radiofrequency neurotomy for chronic pain in the back and after mastectomy as well as nerve incisions for focal spasticity. The circumcision (radial neurotomy) of the optic nerve in central venous thrombosis is a method that has recently been developed and which leads to better blood flow to the retina.

Individual evidence

  1. ^ Theodor Puschmann : Handbook of the history of medicine: Bd. The new time. Part II, Volume 3, p. 103, G. Fischer Jena, 1905.
  2. ^ MP Davis: Recent advances in the treatment of pain. In: F1000 medicine reports Volume 2, 2010, p. 63, ISSN  1757-5931 . PMID 21173850 . PMC 2990447 (free full text)
  3. MP Sindou, F. Simon, P. Mertens, P. Decq: Selective peripheral neurotomy (SPN) for spasticity in childhood. In: Child's nervous system: ChNS: official journal of the International Society for Pediatric Neurosurgery Volume 23, Number 9, September 2007, pp. 957-970, ISSN  0256-7040 . doi : 10.1007 / s00381-007-0399-1 . PMID 17605016 . (Review)
  4. Jump up J. Callizo, P. Kroll, S. Mennel, JC Schmidt, CH Meyer: Radial optic neurotomy for central retinal vein occlusion: long-term retinal perfusion outcome. In: Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde Volume 223, Number 5, 2009, pp. 313-319, ISSN  1423-0267 . doi : 10.1159 / 000217730 . PMID 19420979 .